Pronto acolhimento ou acolhimento pronto? Responsabilidade e julgamento como nexos axiológicos que sustentam as práticas do trabalho em equipe na estratégia de saúde da família.

Abstract

The question that guided this research approaches the values for sustaining the practice of user embracement, in the offering of comprehensive care, in the context of the Family Health Strategy. User embracement at this writing refers to an attitude as well as a practice, both based on Care as Value that prompts a public sense of responsibility of those who welcomes and those who seeks care. Also, this research inquires about the details and refinements of teamwork that can make embracement practices emerge or disappear of ethical - political horizon of this type of intervention. The research, which has its field of study in the Public Health, seeks to add elements of philosophy and sociology in order to come near to other fields of knowledge. Therefore, Hannah Arendt s work will be bringing close together, especially the concepts of Responsibility and Judgement, which are defined as axiological nexuses of the practices of user embracement. The content studied in this research consists of the researcher s experiences, which are (re)constructed from narratives. Methodology used to treat this material, in line with the theoretical reference, uses narratives sought in field journals and reports that were prepared during the researcher s engagement in a Basic Health Unit. Narratives are proper to studies based on phenomenological ideas, while maintaining the values and perceptions present in the described experience. The implication analysis appears as an important tool for the research that relies on researcher s participation himself, since the content of research emerges from the analysis of his sensations and feelings in the field, with its participants and its relationships. This material gives prominence to the researcher s place in the field, allowing us to understand the nexus of his interventions, in addition to elucidating power games existent in the research field. The results are elucidated by the concepts of Responsibility and Judgement, supported by the construct of Care as Value. At the final discussion, it is possible to find the defense of values that can put human being - and not wealth accumulation - as the health assistance s ultimate goal. There are highlighted elements that allow us to diverge from a monologic vision of individual, founded by contractarian theory, which constitutes one of the pillars of utilitarism, to give rise to a conception of subject that consists in the inter-subjectivity, therefore, has to act with responsibility to others and to the world around.